%0 Journal Article %T Deleterious mutations in ALDH1L2 suggest a novel cause for neuro-ichthyotic syndrome %A Catherine Sarret %A Christine Francannet %A El¨¦onore Eymard-Pierre %A Evan Paules %A Imen Dorboz %A Natalia I. Krupenko %A Odile Boespflug-Tanguy %A Peter Pediaditakis %A Sergey A. Krupenko %A Susan Sumner %A Zahra Ashkavand %J Archive of "NPJ Genomic Medicine". %D 2019 %R 10.1038/s41525-019-0092-9 %X Particularities of the patient phenotype. Patient at the age of 3 years a, b and 14 years c presented with a facial dysmorphism with epicanthus, hypertelorism, broad nasal root, anteverted nares, long philtrum, thin upper lip. The written consent for publication of these photos was obtained from child¡¯s parents. Cerebral MRI shows diffuse hypomyelination at the age of 2 years with white matter appearing respectively in hypersignal on T2-weighted sequences, in hypersignal on FLAIR sequences and in normosignal on T1-weighted sequences d, g, j. Progressive myelination and dilatation and coalescing of Virchow¨CRobin spaces at the age of 6 e, h, k and 14 years f, i, l. 1H-MRS in the corona radiata for classical SLS patients shows a typical major peak at 1.3£¿ppm and a smaller peak at 0.9£¿ppm (m, arrows). 1H-MRS for our patient reveals a similar pattern with two peaks at 1.3 and 0.9£¿ppm (arrows) at the age of 2 n and 6 years o. However, the peak at 1.3£¿ppm appears smaller than the peak at 0.9£¿ppm in our patient. We observed no decrease in N-acetyl-aspartate (NAA)/creatine (Cr) ratio, or in choline (Cho) peak suggesting normal maintenance of neuronal and myelin content but a small increase of inositol peak that may be due to some astrocytic stress. Family pedigrees p and patient¡¯s genotype r, %K Diseases %K Metabolic disorders %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6650503/